1477875086 NPI number — AMERICAN HEARING CENTERS, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477875086 NPI number — AMERICAN HEARING CENTERS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HEARING CENTERS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SONUS SF0005
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477875086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1675 LEAHY ST
Provider Second Line Business Mailing Address:
STE 109
Provider Business Mailing Address City Name:
MUSKEGON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49442-5500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
231-728-5720
Provider Business Mailing Address Fax Number:
231-728-5721

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
905 COLBY ROAD
Provider Second Line Business Practice Location Address:
STE 162
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49461-1265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-728-1660
Provider Business Practice Location Address Fax Number:
231-728-5975
Provider Enumeration Date:
02/23/2010

Additional Information

Authorized Official

Authorized Official Last Name:
GALLAGHER
Authorized Official First Name:
JEAN
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
AUDIOPROSTHOLOGIST
Authorized Official Telephone Number:
231-728-5720

Provider Taxonomy Codes

  • Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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